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Ultrasonic evaluation of portosystemic collateral circulation in portal hypertension.
J Assoc Physicians India. 1996 Aug; 44(8):537-9.JA

Abstract

The aim of the study was to evaluate portosystemic collateral circulation in relation to (1)individual etiological groups of portal hypertension., (2) Presence and size of esophageal varices, (3) esophageal sclerotherapy and (4) ascites. A prospective study of 101 patients of portal hypertension was carried out. Patients were divided into 4 etiological groups: Alcoholic cirrhosis (ALD) (38), Non-alcoholic cirrhosis (NALD) (35), non cirrhotic portal fibrosis (NCPF) (14) and extrahepatic portal vein obstruction (EHPVO) (14). Esophageal varices were assessed and graded endoscopically into 3 categories: no varix, small varices and large varices. Evaluation of portosystemic collateral circulation, other than esophageal varices was done ultrasonically. "Other" portosystemic collaterals (lienorenal, gastrorenal, dilated paraumbilical and umbilical veins, paraduodenal and gall bladdes varices) were seen in 26 out of 101 patients and more commonly in the non-cirrhotic groups (50%) [NCPF: 57.14%, EHPVO: 42.86%] than in the cirrhotic group (16.44%) [ALD: 13.5%, NALD: 20%]. Gall bladder varices were the only form of ectopic (extra esophagogastric) varices visualised with an overall incidence of 3.96%. Collateral shunts were seen more frequently in patients without varices (100%), than in patients with small varices (34.88%) or large varices (7.84%), and in patients having undergone esophageal sclerotherapy (57.14%). Collateral circulation did not contribute to the development of ascites. 37 patients with ascites did not have collateral shunts. We conclude portosystmic circulation plays a decompressive role in portal hypertension and prevents formation of esophageal varices or prevents them from increasing in size. It is seen more frequently in noncirrhotic patients and in those having undergone sclerotherapy and does not contribute to development of ascites.

Authors+Show Affiliations

TN Medical College, Bombay.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9251426

Citation

Sheth, S G., et al. "Ultrasonic Evaluation of Portosystemic Collateral Circulation in Portal Hypertension." The Journal of the Association of Physicians of India, vol. 44, no. 8, 1996, pp. 537-9.
Sheth SG, Amarapurkar DN, Chopra KB, et al. Ultrasonic evaluation of portosystemic collateral circulation in portal hypertension. J Assoc Physicians India. 1996;44(8):537-9.
Sheth, S. G., Amarapurkar, D. N., Chopra, K. B., Mani, S. A., & Mehta, P. J. (1996). Ultrasonic evaluation of portosystemic collateral circulation in portal hypertension. The Journal of the Association of Physicians of India, 44(8), 537-9.
Sheth SG, et al. Ultrasonic Evaluation of Portosystemic Collateral Circulation in Portal Hypertension. J Assoc Physicians India. 1996;44(8):537-9. PubMed PMID: 9251426.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ultrasonic evaluation of portosystemic collateral circulation in portal hypertension. AU - Sheth,S G, AU - Amarapurkar,D N, AU - Chopra,K B, AU - Mani,S A, AU - Mehta,P J, PY - 1996/8/1/pubmed PY - 1996/8/1/medline PY - 1996/8/1/entrez SP - 537 EP - 9 JF - The Journal of the Association of Physicians of India JO - J Assoc Physicians India VL - 44 IS - 8 N2 - The aim of the study was to evaluate portosystemic collateral circulation in relation to (1)individual etiological groups of portal hypertension., (2) Presence and size of esophageal varices, (3) esophageal sclerotherapy and (4) ascites. A prospective study of 101 patients of portal hypertension was carried out. Patients were divided into 4 etiological groups: Alcoholic cirrhosis (ALD) (38), Non-alcoholic cirrhosis (NALD) (35), non cirrhotic portal fibrosis (NCPF) (14) and extrahepatic portal vein obstruction (EHPVO) (14). Esophageal varices were assessed and graded endoscopically into 3 categories: no varix, small varices and large varices. Evaluation of portosystemic collateral circulation, other than esophageal varices was done ultrasonically. "Other" portosystemic collaterals (lienorenal, gastrorenal, dilated paraumbilical and umbilical veins, paraduodenal and gall bladdes varices) were seen in 26 out of 101 patients and more commonly in the non-cirrhotic groups (50%) [NCPF: 57.14%, EHPVO: 42.86%] than in the cirrhotic group (16.44%) [ALD: 13.5%, NALD: 20%]. Gall bladder varices were the only form of ectopic (extra esophagogastric) varices visualised with an overall incidence of 3.96%. Collateral shunts were seen more frequently in patients without varices (100%), than in patients with small varices (34.88%) or large varices (7.84%), and in patients having undergone esophageal sclerotherapy (57.14%). Collateral circulation did not contribute to the development of ascites. 37 patients with ascites did not have collateral shunts. We conclude portosystmic circulation plays a decompressive role in portal hypertension and prevents formation of esophageal varices or prevents them from increasing in size. It is seen more frequently in noncirrhotic patients and in those having undergone sclerotherapy and does not contribute to development of ascites. SN - 0004-5772 UR - https://www.unboundmedicine.com/medline/citation/9251426/Ultrasonic_evaluation_of_portosystemic_collateral_circulation_in_portal_hypertension_ L2 - http://www.diseaseinfosearch.org/result/5881 DB - PRIME DP - Unbound Medicine ER -